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Repair of right ventricular free wall defect with a pedicled muscle flap
M Cohen1, M A Marschall, D M Goldfaden
1Division of Plastic and Reconstructive Surgery, University of Illinois College of Medicine, Chicago 60680.
The Annals of Thoracic Surgery
|December 1, 1987
Abstract:
A unique case of repair of a full-thickness cardiac defect and simultaneous reconstruction of an infected median sternotomy wound is presented. A right ventricular defect, 6 cm in diameter, was closed with a fascia lata graft and reinforced with a rectus abdominis muscle flap. The superior portion of the mediastinum was obliterated with a pectoralis major muscle flap. The patient tolerated the procedure well and remains free of cardiac symptoms seven months postoperatively, with no evidence of residual infection.